MS. Jeralyn Marlo Peterson, RDH

NPI #1376054338 in Ogema, Minnesota

Provider Information

NPI Number: 1376054338
Entity Type: Individual
Name: MS. Jeralyn Marlo Peterson, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 18, 2017
Last Updated: Oct 18, 2017

Practice Location

Address: 40520 COUNTY HIGHWAY 34
City: Ogema
State: Minnesota
ZIP Code: 56569-9612
Phone: (218) 983-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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